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West Virginia rates for HCPCS 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.72 / $1,264.72 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $1,444.55 / $1,573.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.10 / $1,348.10 / $1,348.10